NPIMap

Organization Active NPI

Dr.Thomas J Whalen MD PC

  • Pain Medicine (Anesthesiology) Physician
  • Albuquerque, NM
National Provider Identifier
1114958790
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
NM97165 Issued in NM
Legal business name
DR.THOMAS J WHALEN MD PC
Practice address
8314 Kaseman CT NE
Albuquerque, NM 87110
Phone
(505) 246-9190
Fax
(505) 246-9617
NPI assigned
Jul 5, 2006
Last updated
May 15, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
DR. THOMAS J WHALEN MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas J Whalen, MDNPI 1134120645
Title
President
Phone
(505) 246-9190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NM97165 NM Primary

Addresses

Primary practice location

8314 Kaseman CT NE
Albuquerque, NM 87110

Mailing address

21 Valerie Ave
Montpelier, VT 05602-3748
Phone (505) 892-4461

Other identifiers 1

IdentifierTypeStateIssuer
L9727MedicaidNM

National Provider Directory

National Provider Directory
Part of
Thomas Whalen MD

Locations

8314 Kaseman Ct NE
Albuquerque, NM 87110
Phone (505) 246-9190

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1114958790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 VALERIE AVE",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023748",
            "telephone_number": "505-892-4461",
            "fax_number": "505-892-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8314 KASEMAN CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87110",
            "telephone_number": "505-246-9190",
            "fax_number": "505-246-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.THOMAS J WHALEN MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. THOMAS J WHALEN MD PC",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "WHALEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-246-9190",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NM",
            "license": "NM97165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L9727",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.